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DR. COLTON RONALD JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 E WALNUT ST, WALNUT, IL 61376-9348
(815) 876-0964
Mailing address
PO BOX 92, WALNUT, IL 61376-0092
(815) 876-0964

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.084768
IL
390200000X
Student in an Organized Health Care Education/Training Program
IL

Other

Enumeration date
03/27/2024
Last updated
06/21/2024
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